Limited usefulness of initial blood cultures in community acquired pneumonia

Emergency Medicine Journal

Volumn 21, Issue 4, 2004, Pages 446-448

  Corbo, Jill ^a   Friedman, B ^a   Bijur, P ^a   Gallagher, E J ^a  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CEPHALOSPORIN; DOXYCYCLINE; MACROLIDE; PENICILLIN G DERIVATIVE; QUINOLINE DERIVED ANTIINFECTIVE AGENT; VANCOMYCIN;

ADULT; AGED; ANTIBIOTIC RESISTANCE; ANTIBIOTIC THERAPY; ARTICLE; BLOOD CULTURE; COMMUNITY ACQUIRED PNEUMONIA; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; HYPOTHESIS; IMMUNOCOMPETENCE; IMMUNOSUPPRESSIVE TREATMENT; LABORATORY DIAGNOSIS; LUNG INFILTRATE; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; NONHUMAN; NURSING HOME; PATHOGENESIS; PATIENT SELECTION; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; STAPHYLOCOCCUS; THORAX RADIOGRAPHY; URBAN AREA;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; BACTEREMIA; COMMUNITY-ACQUIRED INFECTIONS; FALSE POSITIVE REACTIONS; FEMALE; HOSPITALIZATION; HUMANS; MALE; MIDDLE AGED; PNEUMONIA, BACTERIAL; RETROSPECTIVE STUDIES;

EID: 3242756686     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (8)

1. Bernstein JM. Treatment of community-acquired pneumonia-IDSA guidelines. Chest 1999;115:9s-13s.
2. Bartlett JG, Dowell SF, Mandell LA, et al. Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America. Clin Infect Dis 2000;31:347-82.
3. Niederman MS, Mandell LA, Anzueto A, et al. Guideline for the management of adults with community acquired pneumonia: diagnosis, assessment of severity, antimicrobial therapy and prevention. Am J Respir Crit Care Med 2001;163:1730-54.
4. Chalasani NP, Valdecanas MAL, Gopal AK, et al. Clinical utility of blood cultures in adult patients with community-acquired pneumonia without defined underlying risks. Chest 1995;108:932-6.
5. Waterer GW, Wunderink RG. The influence of the severity of community-acquired pneumonia on the usefulness of blood cultures. Respir Med 2001;95:78-82.
6. Woodhead MA, Arrowsmitth J, Chamberlain-Webber R, et al. The value of routine microbial investigation in community-acquired pneumonia. Respir Med 1991;85:313-17.
7. Bates DW, Goldman L, Lee JH. Contaminant blood cultures and resource utilization: the true consequences of false-positive results. JAMA 1991;265:365-9.
8. Waterer GW, Jennings SG, Wunderink RG. The impact of blood cultures on antibiotic therapy in Pneumococcal pneumonia. Chest 1999;116:1278-81.